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<table width="1069" border="1">
  <tr>
    <td colspan="2"><h2 align="center">Account Information</h2></td>
  </tr>
  <tr>
    <td width="525"><div align="right">Original Amount</div></td>
    <td width="528"><label>
      <input type="text" name="originalamount" id="originalamount" />
    </label></td>
  </tr>
  <tr>
    <td><div align="right">
      <div align="right">Profit Percentage:</div>
    </div>        
      </label></td>
      <td><form id="form3" name="form3" method="post" action="">
        <label>
          <input type="text" name="profit" id="profit" />
        </label>
      </form>        <label></label></td>
  </tr>
  <tr>
    <td><div align="right">Tolal Amount</div></td>
    <td><label>
      <input type="text" name="totalamount" id="totalamount" />
    </label></td>
  </tr>
  <tr>
    <td><div align="right">Advance</div></td>
    <td><label>
      <input type="text" name="advance" id="advance" />
    </label></td>
  </tr>
  <tr>
    <td><div align="right">Remaining</div></td>
    <td><label>
      <input type="text" name="remaining" id="remaining" />
    </label></td>
  </tr>
  <tr>
    <td><div align="right">Installment / Month</div></td>
    <td><label>
      <input type="text" name="installmentpermonth2" id="installmentpermonth2" />
    </label></td>
  </tr>
  
  <tr>
    <td><div align="right">Amount Paid</div></td>
    <td><form id="form2" name="form2" method="post" action="">
      <label>
        <input type="text" name="amountpaid" id="amountpaid" />
        </label>
    </form>
    </td>
  </tr>
</table>
<p>&nbsp; </p>
<form id="form1" name="form1" method="post" action="">
  <div align="center">
    <h2><strong>Installment Record  </strong></h2>
    <table width="628" border="1">
      <tr>
        <td width="95"><p>Installment no:</p></td>
        <td width="216">Date</td>
        <td width="157">Monthly Installment</td>
        <td width="132">Balance</td>
      </tr>
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    <p>&nbsp;</p>
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</form>
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